Canyon Palms Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

CANYON PALMS SURGERY CENTER, LLC

Practice address

1221 N Indian Canyon Dr
Palm Springs, CA 92262-4875

Phone

(760) 810-7590

NPI assigned

Jul 28, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michelle Soto

Title

Billing Manager

Phone

(760) 793-1789

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Ambulatory surgical center certification: CCN 05C0001430

Legal name

AARONSON PLASTIC SURGERY CENTER

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Nov 18, 1998

Last certification

Mar 2, 2017

Ownership / control type

Proprietary

Facility address

1221 North Indian Canyon Drive
Palm Springs, CA 92262

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1690502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690502400000",
    "number": "1023799376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72650 FRED WARING DR STE 206",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922605009",
            "telephone_number": "760-793-1789",
            "fax_number": "760-560-5953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 N INDIAN CANYON DR",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624875",
            "telephone_number": "760-810-7590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANYON PALMS SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-28",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A",
        "authorized_official_last_name": "SOTO",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "760-793-1789"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arron Candelaria
• Jose Candelario, M.D.
• Orlando B. Canlas, D.D.S
• Erin R. Canter, EDS, LEP
• Ryan Canter
• Jason Van Cao, PHARMD
• Brianna Card, RPH
• Jose Cardenas, MD
• Barry Cardiner, MFT
• Cardiothoracic Physician Specialists

• Ambulatory Surgical Clinic/Center in Palm Springs, CA
• Providers in Palm Springs, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.